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OMB# 1125-0004

U.S. Department of Justice

Alien’s Change of Address Form/

Executive Office for Immigration Review

Immigration Court

If you move or change your phone number, the law requires you to file this Change of Address Form with the Immigration Court. You must file this

form within five (5) working days of a change in your address or phone number. You will only receive notification as to the time, date, and place of

hearing or other official correspondence at the address which you provide. Changes in address or telephone numbers communicated through any means

except this form, e.g., pleadings, motion papers, correspondence, telephone calls, applications for relief, etc. will not be recognized and the address

information and record will remain unchanged.

Failure to appear at any hearing before an Immigration Judge, when notice of that hearing or other official correspondence was served on

you or sent to the address you provided, may result in one or more of the following actions:

If you are not already detained, you may be taken into custody by the Department of Homeland Security (DHS) and held for further action; and

If you are in removal proceedings:

If you are in deportation proceedings:

If you are in exclusion proceedings:

Your hearing may be held in your absence

Your application for admission to the United

under Section 240 of the Immigration

under Section 242B of the Immigration and

States may be considered withdrawn, and

and Nationality Act (INA), and an order

Nationality Act (INA) (1995), and an order

your hearing may be held in your absence

of removal may be entered against you.

of deportation may be entered against you.

and an order of exclusion and deportation

Furthermore, you may become ineligible for

entered against you.

the following forms of relief from removal

the following forms of relief from deporta-

for a period of 10 years after the date of the

tion for a period of 5 years after the date of

entry of the final order:

the entry of the final order:

1. Voluntary Departure as provided for

in Section 240B of the INA;

in Section 242(b) of the INA (1995);

2. Cancellation of Removal as provided

2. Suspension of Deportation or Vol-

for in Section 240A of the INA;

untary Departure as provided for in

3. Adjustment of Status or Change of

Section 244 of the INA (1995);

Status as provided for in Section(s)

3. Adjustment of Status or Change of

245, 248, or 249 of the INA.

Status as provided for in Section(s)

245, 248, or 249 of the INA (1995).

Name:

Alien Number: A

My OLD address was:

My NEW address is:

(“In care of” other person, if any)

(Number, Street, Apartment)

(City, State and ZIP Code)

(Country, if other than U.S.)

(New Telephone Number)

(Country, if other than U.S.)

SIGN HERE

Signature

Date

PROOF OF SERVICE

(You Must Complete This)

mailed or delivered a copy of this Change of Address Form on

(Name)

to the Office of the Chief Counsel for the DHS (U.S. Immigration and Customs Enforcement-ICE) at

(Date)

(Number and Street, City, State, Zip Code)

SIGN HERE

Form EOIR - 33/IC

Signature

Revised July 2015

Form Eoir-33 - Phoenix Immigration Court - Alien'S Change Of Address Form/ Immigration Court

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